APPLICATION FORMAT FOR CANDIDATES TO ENROLL AS TRAINEES UNDER AC&ABC SCHEME
Registration Details
Name of the candidate
*
:
Name of Father/ Spouse
*
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Sex
*
:
---Select----
Male
Female
Permanent Address
*
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Village and Panchayat
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Block and/or Tehsil
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District
:
Pincode
Aadhaar Number
*
:
Bank Details
Name of the bank
*
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Branch
*
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IFSC code
*
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Account no.
*
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Address for Correspondence
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Line 1
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Line 2
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Line 3
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Pincode
Educational Qualification
Name of the degree/ diploma/ Certificate/ Course
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Board/ Institute/ University where studied
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University to which Affiliated
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Marks/ Grade obtained
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Year of passing / completion
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Contact Details
Email address
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Mobile number
*
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Experience
Family Background
*
:
---Select----
Agriculture
Other than agriculture
Agri-Business interest
*
:
---Select----
Nature of enterprise being planned to set upafter
Experience in the enterprise being planned
Likely place of establishment of enterprise
Aptitude for extension work with brief details of extension work done and vision for future in serving
farmers
*
:
Verification code
*
:
Change Verification Code
Enter the Verification code
*
:
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